scholarly journals Relationship between the endopelvic fasciae and the inferior hypogastric plexus Activity Log

2020 ◽  
pp. 17-30
Author(s):  
Vicente Mitidieri ◽  
Alejandro Mitidieri ◽  
Brenda Queirolo Burgos ◽  
Julián Paione Oleszuk ◽  
Tomás Cifone
Keyword(s):  
Buenos Aires ◽  
Terminal Portion ◽  
Male Adult ◽  
Endopelvic Fascia ◽  
Femoral Length ◽  
Inferior Hypogastric Plexus ◽  
The Third ◽  
School Of Medicine ◽  
Hypogastric Plexus ◽  
Pelvic Splanchnic Nerves

The Inferior Hypogastric Plexus (PHI) is a difficult plexus to define and dissect, hence the ease with which it can be injured both in anatomical and surgical research. Defining its relationships, with respect to the endopelvic fascia (FEP), including its formation and branches, (Baader B., et al., 2003, p. 129) would facilitate their dissection. This anatomical investigation aims to standardize different portions that require a different approach to preserve their integrity. Cadaveric material belonging to the Third Chair of Anatomy of the School of Medicine, Buenos Aires University was used. One (n=1) formolized male adult organ block and seventeen (n=17) hemipelvis were dissected: five (n=5) adult male hemipelvis formolized, nine (n=9) fetal hemipelvis formolized (7 male and 2 female), between 18 and 36 weeks of gestational age calculated by femoral length, and three (n=3) adult hemipelvis from fresh cadavers, two (n=2) female and one (n=1) male. Microdissection elements and magnifying glasses were used. We were able to distinguish three different sectors: the first, preplexual, located posterior and lateral to the FEP, where the sympathetic components (hypogastric nerves) and the parasympathetic (pelvic splanchnic nerves) have not yet converged to form the plexus. A second sector, plexual, with the plexus already fully formed, located in the thickness of the FEP. Finally, its terminal portion, already devoid of the FEP, formed by nerves that go to the perineal membrane accompanied by arterial and venous vessels. Each of these sectors requires a different approach in both anatomical and surgical dissection.

High incidence of limb autotomy in a crab population from a coastal lagoon in the province of Buenos Aires, Argentina

1989 ◽  
Vol 67 (8) ◽  
pp. 1976-1985 ◽  
Author(s):  
Eduardo D. Spivak ◽  
María Angélica Politis
Keyword(s):  
Coastal Lagoon ◽  
Buenos Aires ◽  
Lower Proportion ◽  
Shore Crab ◽  
Agonistic Behaviour ◽  
Male Adult ◽  
Size Dependent ◽  
The Third ◽  
Crab Population ◽  
High Incidence

A total of 2243 individuals of the shore crab Cyrtograpsus angulatus were obtained from Mar Chiquita lagoon, in the province of Buenos Aires, Argentina, from August 1986 to May 1987. Adult crabs were found at low tide on stones or on the beach, whereas juveniles were found beneath stones. Each crab was measured, sexed, and examined for the incidence of autotomized and regenerated limbs. Crabs exhibited a high, although size dependent, incidence of autotomy that was higher in female than in male adult crabs; the lowest values were found in juveniles. Crabs lost from one to seven limbs; both sexes showed a higher number of multiple, and a reduced number of single, autotomies than expected. The highest incidence occurred in the longest and most exposed limbs: the third and fourth walking legs; the chelae showed a reduced incidence. Crabs with multiple autotomy lost adjacent rather than nonadjacent limbs. The regeneration of a lost limb did not depend on the number of autotomies in small crabs, but it did in the case of large crabs which frequently did not regenerate some of their lost limbs. The five pairs of limbs had similar, size dependent, incidence of regeneration. Adult crabs with multiple autotomies had a lower proportion of synchronous regeneration of adjacent limbs. The high incidence of autotomy in this population of C. angulatus is discussed and alternative explanations of its causes are proposed, namely, inter- and intra-specific predation and agonistic behaviour.

Nerve-sparing radical hysterectomy: steps to standardize surgical technique

2019 ◽  
Vol 29 (7) ◽  
pp. 1203-1208 ◽  
Author(s):  
Mustafa Zelal Muallem ◽  
Yasser Diab ◽  
Jalid Sehouli ◽  
Shingo Fujii
Keyword(s):  
Radical Hysterectomy ◽  
Splanchnic Nerve ◽  
Primary Objective ◽  
Autonomic Nerve ◽  
Surgical Approaches ◽  
Nerve Sparing ◽  
Inferior Hypogastric Plexus ◽  
Splanchnic Nerves ◽  
Hypogastric Plexus ◽  
Pelvic Splanchnic Nerves

AimThe primary objective of this review was to study and analyze techniques of nerve-sparing radical hysterectomy so as to be able to characterize and elucidate intricate steps for the dissection of each component of the pelvic autonomic nerve plexuses during nerve-sparing radical hysterectomy.MethodsThis review was based on a five-step study design that included searching for relevant publications, selecting publications by applying inclusion and exclusion criteria, quality assessment of the identified studies, data extraction, and data synthesis.ResultsThere are numerous differences in the published literature concerning nerve-sparing radical hysterectomy including variations in techniques and surgical approaches. Techniques that claim to be nerve-sparing by staying above the dissection level of the hypogastric nerves do not highlight the pelvic splanchnic nerve, do not take into account the intra-operative patient position, nor the fact that the bladder branches leave the inferior hypogastric plexus in a ventrocranial direction, and the fact that inferior hypogastric plexus will be drawn cranially with the vaginal walls (if this is not recognized and isolated earlier) above the level of hypogastric nerves by drawing the uterus cranially during the operation.ConclusionsThe optimal nerve-sparing radical hysterectomy technique has to be radical (type C1) and must describe surgical steps to highlight all three components of the pelvic autonomic nervous system (hypogastric nerves, pelvic splanchnic nerves, and the bladder branches of the inferior hypogastric plexus). Recognizing the pelvic splanchnic nerves in the caudal parametrium and the isolation of the bladder branches of the inferior hypogastic plexus requires meticulous preparation of the caudal part of the ventral parametrium.

Three-Dimensional Modelization of the Female Human Inferior Hypogastric Plexus: Implications for Nerve-Sparing Radical Hysterectomy

2018 ◽  
Vol 84 (2) ◽  
pp. 196-203 ◽  
Author(s):  
Vincent Balaya ◽  
Fabien Guimiot ◽  
Jean-François Uhl ◽  
Charlotte Ngo ◽  
Myriam Delomenie ◽  
...  
Keyword(s):  
Radical Hysterectomy ◽  
Three Dimensional ◽  
Nerve Sparing ◽  
Inferior Hypogastric Plexus ◽  
Hypogastric Plexus

scholarly journals Clinical Management of Chronic Pelvic Pain in Endometriosis Unresponsive to Conventional Therapy

2022 ◽  
Vol 12 (1) ◽  
pp. 101
Author(s):  
Augusto Pereira ◽  
Manuel Herrero-Trujillano ◽  
Gema Vaquero ◽  
Lucia Fuentes ◽  
Sofia Gonzalez ◽  
...  
Keyword(s):  
Pelvic Pain ◽  
Conventional Therapy ◽  
Chronic Pelvic Pain ◽  
Myofascial Pain ◽  
Visceral Pain ◽  
University Hospital ◽  
Common Symptom ◽  
Rectal Pain ◽  
Inferior Hypogastric Plexus ◽  
Hypogastric Plexus

Background: Although several treatments are currently available for chronic pelvic pain, 30–60% of patients do not respond to them. Therefore, these therapeutic options require a better understanding of the mechanisms underlying endometriosis-induced pain. This study focuses on pain management after failure of conventional therapy. Methods: We reviewed clinical data from 46 patients with endometriosis and chronic pelvic pain unresponsive to conventional therapies at Puerta de Hierro University Hospital Madrid, Spain from 2018 to 2021. Demographic data, clinical and exploratory findings, treatment received, and outcomes were collected. Results: Median age was 41.5 years, and median pain intensity was VAS: 7.8/10. Nociceptive pain and neuropathic pain were identified in 98% and 70% of patients, respectively. The most common symptom was abdominal pain (78.2%) followed by pain with sexual intercourse (65.2%), rectal pain (52.1%), and urologic pain (36.9%). A total of 43% of patients responded to treatment with neuromodulators. Combined therapies for myofascial pain syndrome, as well as treatment of visceral pain with inferior or superior hypogastric plexus blocks, proved to be very beneficial. S3 pulsed radiofrequency (PRF) plus inferior hypogastric plexus block or botulinum toxin enabled us to prolong response time by more than 3.5 months. Conclusion: Treatment of the unresponsive patient should be interdisciplinary. Depending on the history and exploratory findings, therapy should preferably be combined with neuromodulators, myofascial pain therapies, and S3 PRF plus inferior hypogastric plexus blockade.

Nucleotide sequence of the carboxy-terminal portion of a lodgepole pine actin gene

1988 ◽  
Vol 18 (12) ◽  
pp. 1595-1602 ◽  
Author(s):  
J. R. Kenny ◽  
B. P. Dancik ◽  
L. Z. Florence ◽  
F. E. Nargang
Keyword(s):  
Amino Acid ◽  
Nucleotide Sequence ◽  
Intron Position ◽  
Amino Acid Sequences ◽  
Pairwise Comparisons ◽  
Actin Gene ◽  
Terminal Portion ◽  
The Third ◽  
Actin Genes ◽  
Carboxy Terminal

We have determined the nucleotide sequence of the carboxy-terminal portion of an actin gene (PAc1-A) isolated from Pinuscontorta var. latifolia (Engelm.). Pairwise comparisons of both nucleotide and deduced amino acid sequences were made among PAc1-A, the soybean actins SAc3 and SAc1, maize actin MAc1, chicken β-actin, and yeast β-actin. Of the other actins SAc3 was most similar to the PAc1-A amino acid sequence (91.3% identity) and yeast actin the least similar (78.3% identity). The intron in PAc1-A is present at the same location as the third intron found in MAc1, SAc1, and SAc3 actin genes. This conservation of intron position is unusual when compared with nonplant actin genes.

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1969 ◽  
Vol 43 (2) ◽  
pp. 307-311
Keyword(s):  
Child Health ◽  
University Hospital ◽  
Stanford University ◽  
Palo Alto ◽  
North Central ◽  
The Third ◽  
Baylor University ◽  
School Of Medicine ◽  
Vanderbilt University ◽  
And Child Health

The Third Biennial Seminar on Prematurity will be held in Phoenix, Arizona, February 22-23, 1969. Guest speakers will be Dr. Thomas K. Oliver, University of Washington, Seattle; Dr. Arnold J. Rudolph, Baylor University College of Medicine, Houston, Texas; Dagmar Cechanek, R.N., Stanford University Hospital, Palo Alto, California; Dr. Mildred Stahlman, Vanderbilt University School of Medicine, Nashville, Tennessee; and Mrs. Rose Grobstein, MSW, Stanford University School of Medicine, Palo Alto, California. Registration fee, $7.50. For information write: Frederic W. Baum, M.D., Director, Maternal and Child Health Division, Goodrich Building, 14 North Central Avenue, Phoenix, Arizona 85004.

‘Digital indigestion’: cumbia, class and a post-digital ethos in Buenos Aires

Popular Music ◽  
2015 ◽  
Vol 34 (2) ◽  
pp. 175-196 ◽  
Author(s):  
Geoffrey Baker
Keyword(s):  
Middle Class ◽  
Digital Divide ◽  
Social Cohesion ◽  
Buenos Aires ◽  
Government Policies ◽  
Local Form ◽  
Digital Inclusion ◽  
The Third ◽  
Popular Classes ◽  
Latin Americanism

AbstractThis article focuses on three recent manifestations of cumbia in Buenos Aires, Argentina: digital cumbia released by ZZK Records; retro cumbia orchestras; and a newer strand of digital cumbia, música turra. The first two are identified with the middle class, whereas the third emerged from the clases populares (‘popular classes’). Música turra is underpinned by government policies towards digital inclusion, while middle-class incursions into the traditionally working-class sphere of cumbia, too, suggest increasing social cohesion. However, the digital fascination of música turra contrasts with an embrace of the analogue and acoustic in middle-class cumbia. These developments point to the emergence of a post-digital ethos and a shift from a digital to a post-digital divide, also running along class lines, analysed here through a Bourdieusian lens of taste and distinction. While transnational in nature, the post-digital ethos appears in Buenos Aires in a distinctive local form, articulated to growing Latin Americanism and post-neoliberalism on the part of the middle class.

Taxonomic notes on the genus Gonycentrum Bergroth (Hemiptera: Tingidae)

Zootaxa ◽  
2006 ◽  
Vol 1364 (1) ◽  
pp. 67
Author(s):  
BARBARA LIS ◽  
JERZY A. LIS
Keyword(s):  
Lower Cretaceous ◽  
Buenos Aires ◽  
Single Species ◽  
Systematic Position ◽  
Buenos Aires Province ◽  
The Third ◽  
The Family ◽  
Fossil Genus

The monotypic phatnomatine genus Pampacader (with its single species P. cicchinoi) was recently described from Argentina (Carpintero & Montemayor 2005) as the first genus of the tribe Phatnomatini recorded from Buenos Aires province and the third (after Phatnoma Fieber and Eocader Drake & Hambelton) known from Argentina. The genus was then soon compared with Ambarcader Perrichot, Nel, Guilbert & Néraudeau, described from the Lower Cretaceous amber of France, in a discussion of the systematic position of this new fossil genus within the family (Perrichot et al. 2006).

The inferior hypogastric plexus: A different view

2007 ◽  
Vol 27 (2) ◽  
pp. 130-133 ◽  
Author(s):  
R. Spackman ◽  
B. Wrigley ◽  
A. Roberts ◽  
M. Quinn
Keyword(s):  
Inferior Hypogastric Plexus ◽  
Hypogastric Plexus
Sign in / Sign up

Export Citation Format

Share Document